Fundamentals final (quizzes 9-15)

A nurse is discussing the process of evidence-based practice (EBP) with a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the process? -"Reviewing the effectiveness of the findings is the last step of the EBP process." -"Identifying the problem is the first step of the EBP process." -"Reliance on personal experiences is important to the process of EBP." -"There are four steps in the process of EBP."

"Identifying the problem is the first step of the EBP process."

A nurse is teaching about values to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding? -"Value clarification involves maintaining clinical competency." -"It is important that the nurse is aware of the client's values" -"A nurse's personal values should not influence ethical decisions." -"A nurse behaviors and actions are called values."

"It is important that the nurse is aware of the client's values"

A nurse is teaching a client who reports insomnia. Which of the following statements should the nurse make? -"Keep your bedroom at a warm temperature." -"Remove the television from your bedroom." -"Take a 1 hr nap each day." -"Stop exercising at least 30 minutes before bedtime."

"Remove the television from your bedroom."

A nurse is teaching a client who has diabetes mellitus about diabetic retinopathy. Which of the following statements should the nurse make to the client? -"Seeing spots is a manifestation of diabetic retinopathy." -"Have an eye exam every 2 years." -"Clouding of the lens is a manifestation of diabetic retinopathy." -"It is caused by an increase in intraocular pressure."

"Seeing spots is a manifestation of diabetic retinopathy."

A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make? -"The living will states the client's wishes regarding lifesaving measures. -The Patient Self-Determination Act (PSDA) will explain your rights to change lifesaving measures -The case manager can make changes to the client's living will. -"The durable power of attorney for health care can cancel the client's living will

"The living will states the client's wishes regarding lifesaving measures."

A nurse is teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle? (select all that apply) -Drinking caffeinated beverages in the evening -Emotional stress -A bright light -A 20 min nap during the day -A regular bedtime schedule

-Drinking caffeinated beverages in the evening -Emotional stress -A bright light

A nurse is teaching a class about nonpharmacological therapies to decrease stress. The nurse should include which of the following therapies? (Select all that apply) -Meditation -Electromagnetic therapy -Yoga -Acupuncture -Biofeedback

-Meditation -Yoga -Biofeedback

A nurse is preparing a seminar about the goals of the Magnet Recognition Program for a group of nursing colleagues. Which of the following should the nurse include? -Facilitate a decrease in length of stays in a facility. -Promote quality in health care settings -Identify excellence in the delivery of care -Disseminate best practice in nursing services -Prioritize client needs

-Promote quality in health care settings -Identify excellence in the delivery of care -Disseminate best practice in nursing services

A nurse is teaching a class about expected developmental milestones in 2-year-old toddlers. The nurse should include which of the following milestones? (select all that apply) -Walks independently -Drinks from a cup -Feeds themselves with a spoon -Speaks up to 20 words -Engages in associative play with other children

-Walks independently -Drinks from a cup -Feeds themselves with a spoon

A nurse administers the wrong medication to a client. After assessing the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating? -Advocacy -Accountability -Confidence -Fairness

Accountability

A nurse is teaching a class about the stages of general adaptive syndrome (GAS). The nurse should include that which of the following is the first physiological response that occurs during GAS? -The body remains alert, while blood pressure and heart rate return to prestress levels. -A perceived stressor stimulates the central nervous system. -An increase in hormones cause an increase in blood pressure and heart rate. -Prolonged exposure to stress can result in illness.

A perceived stressor stimulates the central nervous system.

A nurse is caring for a client who has a terminal diagnosis and states, "I am ready to update my will." The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief? -Bargaining -Denial -Acceptance -Anger

Acceptance

A nurse is caring for a client who is at the end of life and is experiencing dyspnea. Which of the following actions should the nurse take? -Perform nasotracheal suctioning for the client. -Administer an opioid narcotic to the client. -Increase the heat in the client's room. -Place the head of the client's bed flat.

Administer an opioid narcotic to the client.

A nurse is discussing error reduction during the medication administration process. At which of the following phases of the medication administration process does error detection occur after reaching the client? -Dispensing -Ordering -Administration -Transcribing

Administration

A nurse is teaching a class about the transition from novice to expert nurse. The nurse should include that a nurse who requires support from a mentor is at which of the following stages? -Competent -Advanced beginner -Expert -Proficient

Advanced beginner

A nurse is using evidence-based practice (EBP) to decrease the incidence of catheter-associated urinary tract infections (CAUTIs) on a unit. Which of the following actions should the nurse take first? -Implement recommendations to reduce CAUTIs. -Look for credible sources of evidence to reduce CAUTIs. -Ask a clinical question regarding CAUTIs. -Review the information gathered about reducing CAUTIs.

Ask a clinical question regarding CAUTIs.

A nurse is teaching a client who is at risk for hypokalemia. The nurse should instruct the client that which of the following foods is the best source of potassium? -Baked potato -Banana -Avocado -Spinach

Baked potato

A nurse is caring for a client who has a terminal diagnosis and states, "If I get better, I promise to go to church every day." The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief? -Depression -Bargaining -Anger -Denial

Bargaining

A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments? -Diabetic retinopathy -Glaucoma -Cataracts -Macular degeneration

Cataracts

A nurse is teaching a class about quality improvement tools. The nurse should include that which of the following tools is used to identify errors in nursing documentation? -Run chart -Histogram -Chart audit -Process flow chart

Chart audit

A nurse is teaching a newly licensed nurse about informed consent. Which of the following should be included as a responsibility of the nurse in this process? -Confirm that the client is competent to sign for the procedure. -Discuss the risks of the procedure with the client. -Explain alternatives to the procedure to the client. -Inform the client about what will occur during the procedure.

Confirm that the client is competent to sign for the procedure.

A nurse is teaching a class about physiological changes to hearing in older adult clients. Which of the following should the nurse include? -Decreased thickness of tympanic membranes -Decreased tinnitus -Decreased ear wax -Decreased ability to hear high-frequency sounds

Decreased ability to hear high-frequency sounds

A nurse is teaching a class about the effects of a negative body image. The nurse should include that which of the following is an adverse effect of a negative body image? -Self-absorption -Role performance overload -Development of an eating disorder -Mistrust

Development of an eating disorder

A nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse include? -Dilated pupils -Decreased blood pressure -Hypoglycemia -Bronchial airway constriction

Dilated pupils

A nurse is performing a blood pressure screening for a client who has a family history of hypertension. Which of the following concepts is the nurse demonstrating? -Holistic health -Health promotion -Disease prevention -Health education

Disease prevention

A nurse is caring for a client who reports that they are experiencing grief following the loss of a pet and feel like they are grieving alone. The nurse should identify that the client has manifestations of which of the following types of grief? -Uncomplicated grief -Anticipatory grief -Disenfranchised grief -Prolonged grief

Disenfranchised grief

A nurse is discussing the advantages and challenges of electronic health records (EHRs) with a newly licensed nurse. Which of the following should the nurse include as an advantage? -Facilitation of effective communication -Required system changes -Frequent technology updates needed -Increased technology awareness

Facilitation of effective communication

A charge nurse is providing an in-service to a group of nurses about benefits of an interprofessional team. Which of the following information should the nurse include? -Efficiency in client-care services -Decrease the number of visits to client by staff -Decrease number of referrals needed for client -Increase in length of stay for client

Efficiency in client-care services

A nurse is planning to learn about a culture by interviewing willing members of the culture. The nurse is planning to obtain which of the following types of information? -Health disparity data -Etic knowledge -Root cause analysis -Emic knowledge

Emic knowledge

A nurse is providing an in-service on the Healthy People 2030 framework. Which of the following information should the nurse include? -Establishes health objectives for Americans -Utilizes health data from the past 20 years -identifies viruses across the world -Monitors nonmodifiable risk factors

Establishes health objectives for Americans

A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse? -Explaining the steps of a surgical procedure to a client. -Confirming that a client appears competent to consent to a surgical procedure. -Witnessing a client consent for a surgical procedure. -Verifying that a client voluntarily gave consent to a surgical procedure.

Explaining the steps of a surgical procedure to a client.

A nurse is caring for a client who has respiratory alkalosis and is hyperventilating. Which of the following actions should the nurse take? -Plan to administer insulin to the client. -Have the client breath into a paper bag. -Have the client place their head between their knees. -Plan to administer sodium bicarbonate to the client.

Have the client breath into a paper bag.

A nurse is teaching a newly licensed nurse about hospice care. Which of the following information should the nurse include? -Hospice care is restricted to clients who are terminally ill. -The goal of hospice care is to prolong life. -Hospice care cannot be discontinued once it is initiated. -Hospice care is limited to clients who are in a health care facility.

Hospice care is restricted to clients who are terminally ill.

A nurse is teaching a class about categories of nurse-sensitive quality indicators. The nurse should instruct the class that which of the following is included in the outcome category? -Staffing -Use of restraints -Hospital readmissions -Client admissions

Hospital readmissions

A nurse is planning to interview a client to determine their self-concept. Which of the following actions should the nurse plan to take first? -Determine whether the desired outcome has been achieved. -Collaborate with the client to establish short and long-term goals. -Assist the client in identifying coping strategies that have worked in the past. -Identify health alterations that are related to self-concept.

Identify health alterations that are related to self-concept.

A nurse is teaching a class about stress. The nurse should include that which of the following is a manifestation of prolonged stress? -Decreased blood pressure -Anemia -Impaired immune function -Hypoglycemia

Impaired immune function

A nurse is caring for a client whose family wishes to actively participate in the client's care. The nurse encourages and values the family's contribution. The nurse is demonstrating which of the following concepts? -Emic knowledge -Acculturation -Inclusion -Assimilation

Inclusion

A nurse is teaching a class about cultural bias in health care. The nurse should include that which of the following can occur as a result of cultural bias? -Increased disparities in health care -Improved therapeutic communication with clients -Improved assessment of clients -Increased amount of time spent with each client.

Increased disparities in health care

A nurse is assessing a client who is at the end of life. Which of the following findings should the nurse expect? -Irregular respirations -Hypertension -Tachycardia -Moist mucous membranes

Irregular respirations

A nurse is teaching a class about aromatherapy. The nurse should include that which of the following essential oils can promote sleep. -Orange -Ginger -Lavender -Peppermint

Lavender

A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress? -Motor vehicle accident -Loss of a loved one -Being a victim of a crime -Living in poverty

Living in poverty

A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care facility. Which of the following should the nurse identify as part of the medication reconciliation process? -Discontinuation of medications -Medications from another facility -Medications for another pharmacy -Recommendation for prescribed medications

Medications from another facility

A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia? -Hyperactive bowel sounds -Hypertension -Muscle weakness -Cerebral edema

Muscle weakness

A nursing instructor is discussing the regulation of nursing programs to a group of nursing students. Which of the following information should the nursing instructor include? -Nursing programs are approved by the state's legislature -Nursing programs are governed by the Department of Health and Human Services -Nursing programs are governed by the state's board of nursing -Nursing program approval assures that the program is accredited .

Nursing programs are governed by the state's board of nursing

A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief? -Anticipatory grief -Prolonged grief -Disenfranchised grief -Uncomplicated grief

Prolonged grief

A nurse is reviewing the medical history on a client who is preoperative for surgery. Which of the following findings places the client at risk for a postoperative complication? -Glucose level 75 mg/dL -Fractured ankle -Obstructive sleep apnea -BMI 24

Obstructive sleep apnea

A nurse is assessing a client who is experiencing hypovolemia. Which of the following findings should the nurse expect? -Oliguria -Hypertension -Bradycardia -Peripheral edema

Oliguria

A nurse is discussing clients' protected health information (PHI) with a newly hired nurse. Which of the following information should the nurse include in the discussion? -PHI does not apply to past illnesses. -PHI can be given to other providers without the client's permission. -PHI does not apply to the verbal transfer of health data . -PHI Includes a clients payment information.

PHI Includes a clients payment information.

A nurse is teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include? -The goal of palliative care is to prolong the life of a client. -Palliative care should be avoided for a client who is receiving a curative treatment. -Palliative care is limited to clients who are in a health care facility. -Palliative care is not restricted to clients who are terminally ill.

Palliative care is not restricted to clients who are terminally ill.

A nurse is preparing an in-service about evidence-based practice (EBP). Which of the following information should the nurse include about peer-reviewed sources of information? -Editorial opinion articles by journalists can be as relevant as peer-reviewed articles. -Open access peer-reviewed articles must be purchased by the user. -Peer-reviewed articles have been through laborious review by other professionals. -Peer-reviewed articles are not considered scholarly sources of evidence.

Peer-reviewed articles have been through laborious review by other professionals.

A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of responsibility? -Speaking to a provider on behalf of a client. -Contacting a social worker for a client who requires assistance with finances. -Performing hand hygiene before caring for a client. -Supporting a client's decision to discontinue a treatment.

Performing hand hygiene before caring for a client.

A nurse is preparing an in - service to review the Code of make during the in - service about the COE ? Ethics ( COE ) with a group of nursing colleagues . Which of the following statements should the nurse make during the in-service about the COE? -"Criteria for obtaining licensure is included in the COE." -The use of social media is not included in the COE -"Student nurses are not held accountable to COE " -Professional expectations are included in the COE

Professional expectations are included in the COE

A nurse is contributing to the plan of care for clients who have rheumatoid arthritis. Which of the following plans incorporates integrative health? -Request a referral for surgery and physical therapy for clients. -Monitor C-reactive protein and joint x-rays on clients. -Offer nonsteroidal anti-inflammatory medications and occupational therapy to clients. -Provide massage therapy and corticosteroid medications to clients.

Provide massage therapy and corticosteroid medications to clients.

A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (I-SBSR-R) on a client. Which of the following information should be included in the situation component? -Provider notified of client's back pain -Client admitted with ruptured disc at L5 -Request prescription for opioid medication for pain relief -Client is grimacing due to pain

Provider notified of client's back pain

A nurse is caring for a client who has COPD. The nurse should identify the client is at risk for which of the following acid-base imbalances? -Metabolic alkalosis -Respiratory alkalosis -Metabolic Acidosis -Respiratory acidosis

Respiratory acidosis

An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks. Which of the following resources should the nurse anticipate that the client will require upon discharge? -Assisted living -Long - term care -Skilled nursing -Palliative care

Skilled nursing

A nurse is teaching a class about spirituality in clients who are near the end of life. Which of the following information should the nurse include? -Spirituality can increase feelings of hopelessness. -Spirituality can increase the quality of life. -Spirituality can increase depression. -Spirituality can increase the desire to hasten death.

Spirituality can increase the quality of life.

A nurse is teaching a class about the stages of sleep. The nurse should explain that vivid dreaming occurs during which of the following stages of sleep? -Stage 2 -Stage 3 -Stage 1 -Stage 4

Stage 4

A nurse is preparing an educational session about The Joint Commission ( TJC ). Which of the following information should the nurse include? -TJC provides licensure for health care providers. -TJC provides accreditation to facilities. -TJC is a for - profit organization. -TJC is an organization that monitors insurance claims .

TJC provides accreditation to facilities.

A nurse is planning to use best practices to perform dressing changes. According to the steps of evidence-based practice (EBP), which of the following steps should the nurse plan to perform first? -Watch other nurses perform dressing changes and ask questions about why they perform the procedure differently. -Implement changes for performing dressing changes and collect data to determine client outcomes. -Conduct a literature search to determine the presence of nursing literature on how to perform dressing changes. -Read, organize, and compare the results of the scientific literature search.

Watch other nurses perform dressing changes and ask questions about why they perform the procedure differently.